Evaluation of radial peripapillary capillary density in patients with newly diagnosed iron deficiency anemia

Purpose To investigate the effects of iron deficiency anemia (IDA) on radial peripapillary capillary vessel density (RPCvd) and retinal nerve fiber layer (RNFL) thickness. Methods Forty patients with IDA, and 46 healthy participants, were enrolled in this study. Optical coherence tomography angiogra...

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Veröffentlicht in:International ophthalmology 2021-02, Vol.41 (2), p.399-407
Hauptverfasser: Kocer, Ali Mert, Kiziltoprak, Hasan, Fen, Turgay, Goker, Yasin Sakir, Acar, Atakan
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container_start_page 399
container_title International ophthalmology
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creator Kocer, Ali Mert
Kiziltoprak, Hasan
Fen, Turgay
Goker, Yasin Sakir
Acar, Atakan
description Purpose To investigate the effects of iron deficiency anemia (IDA) on radial peripapillary capillary vessel density (RPCvd) and retinal nerve fiber layer (RNFL) thickness. Methods Forty patients with IDA, and 46 healthy participants, were enrolled in this study. Optical coherence tomography angiography was used to determine RNFL thickness and RPCvd measurements. In addition, hemoglobin (Hb), hematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), and ferritin laboratory values were evaluated. Results Analysis of retinal regions (whole images, peripapillary, superior-hemi, inferior-hemi, inferior-nasal, inferior-temporal, temporal-inferior, temporal-superior, superior-nasal) showed that RPCvd values were significantly lower in patients with IDA compared to the control group values ( p   0.05 for all). In addition, there were significant positive correlations between RPCvd values and hematological values for Hb, HCT, MCV, MCH, MCHC, and ferritin. Conclusion It is important to identify changes in retinal vascularity to prevent possible ocular problems in patients with IDA. Specifically, the significant positive correlations between RPCvd values and hematological values suggest that anemia treatment is important for optic nerve perfusion.
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Methods Forty patients with IDA, and 46 healthy participants, were enrolled in this study. Optical coherence tomography angiography was used to determine RNFL thickness and RPCvd measurements. In addition, hemoglobin (Hb), hematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), and ferritin laboratory values were evaluated. Results Analysis of retinal regions (whole images, peripapillary, superior-hemi, inferior-hemi, inferior-nasal, inferior-temporal, temporal-inferior, temporal-superior, superior-nasal) showed that RPCvd values were significantly lower in patients with IDA compared to the control group values ( p  &lt; 0.05 for all). However, there were no significant differences in RNFL thickness values between the IDA patient group and the control group ( p  &gt; 0.05 for all). In addition, there were significant positive correlations between RPCvd values and hematological values for Hb, HCT, MCV, MCH, MCHC, and ferritin. Conclusion It is important to identify changes in retinal vascularity to prevent possible ocular problems in patients with IDA. Specifically, the significant positive correlations between RPCvd values and hematological values suggest that anemia treatment is important for optic nerve perfusion.</description><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-020-01589-w</identifier><identifier>PMID: 32924077</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Anemia ; Angiography ; Blood vessels ; Density ; Evaluation ; Ferritin ; Hematocrit ; Hematology ; Hemoglobin ; Iron ; Iron deficiency ; Medicine ; Medicine &amp; Public Health ; Nutrient deficiency ; Ophthalmology ; Optic nerve ; Original Paper ; Perfusion ; Retina ; Thickness measurement</subject><ispartof>International ophthalmology, 2021-02, Vol.41 (2), p.399-407</ispartof><rights>Springer Nature B.V. 2020</rights><rights>Springer Nature B.V. 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-44029eae7b168d6cafbec092e3be18dd12971a65ca269be2f1046d5716a8d2ee3</citedby><cites>FETCH-LOGICAL-c375t-44029eae7b168d6cafbec092e3be18dd12971a65ca269be2f1046d5716a8d2ee3</cites><orcidid>0000-0001-6847-1560</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10792-020-01589-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10792-020-01589-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32924077$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kocer, Ali Mert</creatorcontrib><creatorcontrib>Kiziltoprak, Hasan</creatorcontrib><creatorcontrib>Fen, Turgay</creatorcontrib><creatorcontrib>Goker, Yasin Sakir</creatorcontrib><creatorcontrib>Acar, Atakan</creatorcontrib><title>Evaluation of radial peripapillary capillary density in patients with newly diagnosed iron deficiency anemia</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><addtitle>Int Ophthalmol</addtitle><description>Purpose To investigate the effects of iron deficiency anemia (IDA) on radial peripapillary capillary vessel density (RPCvd) and retinal nerve fiber layer (RNFL) thickness. Methods Forty patients with IDA, and 46 healthy participants, were enrolled in this study. Optical coherence tomography angiography was used to determine RNFL thickness and RPCvd measurements. In addition, hemoglobin (Hb), hematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), and ferritin laboratory values were evaluated. Results Analysis of retinal regions (whole images, peripapillary, superior-hemi, inferior-hemi, inferior-nasal, inferior-temporal, temporal-inferior, temporal-superior, superior-nasal) showed that RPCvd values were significantly lower in patients with IDA compared to the control group values ( p  &lt; 0.05 for all). However, there were no significant differences in RNFL thickness values between the IDA patient group and the control group ( p  &gt; 0.05 for all). In addition, there were significant positive correlations between RPCvd values and hematological values for Hb, HCT, MCV, MCH, MCHC, and ferritin. Conclusion It is important to identify changes in retinal vascularity to prevent possible ocular problems in patients with IDA. 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Methods Forty patients with IDA, and 46 healthy participants, were enrolled in this study. Optical coherence tomography angiography was used to determine RNFL thickness and RPCvd measurements. In addition, hemoglobin (Hb), hematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), and ferritin laboratory values were evaluated. Results Analysis of retinal regions (whole images, peripapillary, superior-hemi, inferior-hemi, inferior-nasal, inferior-temporal, temporal-inferior, temporal-superior, superior-nasal) showed that RPCvd values were significantly lower in patients with IDA compared to the control group values ( p  &lt; 0.05 for all). However, there were no significant differences in RNFL thickness values between the IDA patient group and the control group ( p  &gt; 0.05 for all). In addition, there were significant positive correlations between RPCvd values and hematological values for Hb, HCT, MCV, MCH, MCHC, and ferritin. Conclusion It is important to identify changes in retinal vascularity to prevent possible ocular problems in patients with IDA. Specifically, the significant positive correlations between RPCvd values and hematological values suggest that anemia treatment is important for optic nerve perfusion.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>32924077</pmid><doi>10.1007/s10792-020-01589-w</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-6847-1560</orcidid></addata></record>
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subjects Anemia
Angiography
Blood vessels
Density
Evaluation
Ferritin
Hematocrit
Hematology
Hemoglobin
Iron
Iron deficiency
Medicine
Medicine & Public Health
Nutrient deficiency
Ophthalmology
Optic nerve
Original Paper
Perfusion
Retina
Thickness measurement
title Evaluation of radial peripapillary capillary density in patients with newly diagnosed iron deficiency anemia
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